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腹腔镜手术与传统开腹手术治疗宫外孕的临床价值探析 被引量:6

Investigation on clinical value of laparoscopic surgery and traditional open surgery in the treatment of ectopic pregnancy
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摘要 目的探析在宫外孕治疗中应用腹腔镜手术与传统开腹手术的临床价值。方法 30例宫外孕患者,采用系统抽样法分为对照组和研究组,每组15例。对照组患者应用传统开腹手术进行治疗,研究组患者应用腹腔镜手术进行治疗。对两组患者的手术情况、术后恢复情况及术后输卵管再通畅情况进行观察比较。结果研究组患者的术中出血量(78.19±15.38)ml少于对照组的(115.34±18.41)ml,手术时间(55.84±7.01)min短于对照组的(63.47±6.88)min,差异具有统计学意义(P<0.05)。研究组患者的导尿管留置时间、术后下床时间和术后肛门排气时间均短于对照组,差异具有统计学意义(P<0.05)。研究组患者的术后输卵管再通畅情况优于对照组,差异具有统计学意义(P<0.05)。结论在宫外孕治疗中应用腹腔镜手术的临床效果显著优于应用传统开腹手术,因此,腹腔镜手术治疗宫外孕的临床价值较高。 Objective To investigate the clinical value of laparoscopic surgery and traditional open surgery in the treatment of ectopic pregnancy. Methods A total of 30 ectopic pregnancy patients were divided by systematic sampling method into control group and research group, with 15 cases in each group. The control group was treated with traditional open surgery, and the research group was treated with laparoscopic surgery. Observation and comparison were made on operative condition, postoperative recovery and postoperative fallopian tube patency between the two groups. Results The research group had less intraoperative bleeding volume as (78.19±15.38) ml than (115.34±18.41) ml in the control group, and shorter operation time as (55.84±7.01) min than (63.47±6.88) min in the control group. Their difference was statistically significant (P<0.05). The research group had shorter catheter indwelling time, postoperative off-bed time and postoperative anal exhaust time than the control group, and their difference was statistically significant (P<0.05). The research group had better postoperative fallopian tube patency than the control group, and the difference was statistically significant (P<0.05). Conclusion Application of laparoscopic surgery shows better clinical effect in the treatment of ectopic pregnancy than traditional open surgery. Therefore, the clinical value of laparoscopic surgery in the treatment of ectopic pregnancy is higher.
作者 刘玉美 LIU Yu-mei(Department of Obstetrics and Gynecology, Shenzhen 518120, China)
出处 《中国实用医药》 2018年第35期14-16,共3页 China Practical Medicine
关键词 腹腔镜手术 传统开腹手术 宫外孕 临床价值 Laparoscopic surgery Traditional open surgery Ectopic pregnancy Clinical value
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